LISFRANC INJURY

If you suffer from foot instability or swelling, please Schedule an appointment with one of our orthopedic specialists as soon as possible.

What is a Lisfranc Injury?

A Lisfranc injury refers to damage involving the Lisfranc joint complex, a group of joints and ligaments located in the midfoot where the long metatarsal bones connect to the tarsal bones. This complex provides structural stability, maintains the arch of the foot, and allows the foot to transfer force efficiently during movement. The term “Lisfranc injury” includes ligament injuries, joint dislocations, fractures, or a combination of these conditions affecting the midfoot.

Foot and ankle specialists classify Lisfranc injuries according to the extent of damage and the stability of the joint complex. Stable injuries involve minimal disruption of the joints and supporting ligaments, while unstable injuries involve separation or displacement within the joint complex that compromises normal foot alignment. Accurate diagnosis and appropriate management help preserve midfoot stability and long-term function.

Symptoms of a Lisfranc Injury

People with a Lisfranc injury often notice pain and swelling in the middle of the foot that limits normal movement and weight-bearing. Symptoms can vary depending on the severity of the injury, but many people struggle with walking and everyday activities because the damaged midfoot no longer provides normal support.

Symptoms may include:

• Midfoot pain that worsens with standing or walking
• Swelling across the top or middle of the foot
• Bruising on the top or bottom of the foot
• Difficulty walking because weight-bearing increases discomfort
• Tenderness when pressure reaches the midfoot
• Foot instability during standing or movement
• Pain with push-off while walking, climbing stairs, or running
• Reduced range of motion in the midfoot

Causes of a Lisfranc Injury

A Lisfranc injury most commonly develops after trauma that places excessive force across the midfoot. High-impact accidents and sports-related events account for many cases, although lower-energy twisting injuries can also damage the ligaments and joints that support the arch.

Causes may include:

• Twisting injuries that force the foot into an awkward position
• Falls that place excessive pressure on the midfoot
• Motor vehicle accidents that crush or compress the foot
• Sports injuries during football, soccer, basketball, gymnastics, or similar activities
• Direct blows that strike the top of the foot
• Heavy objects falling onto the foot
• High-impact trauma that disrupts the midfoot joints and ligaments
• Sudden force through a planted foot during running, jumping, or rapid changes in direction

Treatment Options for a Lisfranc Injury

Mild Lisfranc injuries that do not involve joint displacement often respond well to nonsurgical treatment. Specialists typically recommend immobilization with a cast or walking boot, temporary restrictions on weight-bearing, pain management, and physical therapy after healing begins. A gradual return to normal activities helps restore strength, flexibility, and foot function while protecting the recovering joints and ligaments.

Severe Lisfranc injuries that involve significant ligament damage, fractures, or joint displacement often require surgery to restore proper alignment and stabilize the midfoot. Surgeons may perform open reduction and internal fixation (ORIF) with plates and screws or recommend midfoot fusion for extensive joint damage. Recovery generally includes a period of immobilization, restricted weight-bearing, and physical therapy to improve mobility, rebuild strength, and support long-term function.

If you would like to speak to a Foot and Ankle Orthopedic Specialist, give us a call at 817-697-4038, or contact us online. Telemedicine appointments are also available.